Tobacco and Vapes Bill Debate
Full Debate: Read Full DebateSammy Wilson
Main Page: Sammy Wilson (Democratic Unionist Party - East Antrim)Department Debates - View all Sammy Wilson's debates with the Department of Health and Social Care
(5 days, 9 hours ago)
Commons ChamberFirst, I should say thank you to the Minister for presenting this afternoon, and for allowing me to be on the Tobacco and Vapes Bill Committee, which was incredibly interesting. There were differing views and there was robust conversation. It is always good to listen to different views, but overall the Bill generally had cross-party support. As Conservative Members have pointed out, many Members of their party have been campaigning for this Bill for a long time.
I am a public health consultant—I trained for 10 to 15 years to be one—and the precondition for public health policy is data and evidence. Opinions are interesting—they can add great colour and character to a conversation—but data and evidence will ultimately deliver better population health outcomes. This public health Bill will stop people dying and will take away addiction to a substance—an addiction that is not a choice.
For many years, there have been public health conversations about whether we should impose measures. This conversation is not new. I wonder how many of us in the House feel strongly these days about wearing seatbelts, but we do not have to go too far back to find a time when people really objected to being told to wear a seatbelt. Tobacco is undoubtedly still the leading cause of premature death and disability in the United Kingdom, as has been mentioned by my hon. Friends. Every day, around 160 people are diagnosed with cancer caused by smoking, and smoking causes at least 16 different types of cancer.
I will talk primarily about new clause 13, proposed by my hon. Friend the Member for City of Durham (Mary Kelly Foy). The Bill will do outstanding work to enable a smokefree generation, but we also need to continue to tackle health inequalities for existing smokers. Smoking is harmful, and differences in smoking prevalence across the population translate into major differences in death rates and illness. We in this place come together from across the country and represent different constituencies. We want the best health outcomes, among many other things, for our residents. It is therefore incumbent on us to look at inequalities and where they reside, and to legislate against them where possible.
Smoking is the single largest driver of health inequalities in England. It is far more common among people with lower incomes, and I am happy to discuss with any Members why that is. The more disadvantaged someone is, the more likely they are to smoke, to suffer from smoking-related disease, and to suffer a premature death. Smoking-related health inequalities are not related solely to socioeconomic status. We represent different parts of the United Kingdom. The poorer health of people in the north of England is in part due to higher rates of smoking there. Smoking rates are also higher among people with a mental health condition, people in contact with the criminal justice system, looked-after children and LGBT people. We all have different types of people in our constituencies, and we should be mindful of those inequalities and the need to address them.
Health inequalities will be reduced through measures that have a greater effect on smokers in higher prevalence groups. In practice, that means prioritising population-level interventions that disadvantaged smokers are more sensitive to, and targeting interventions on those smokers. Having run smoking cessation services during my time as a public health consultant, I can absolutely say that it is incredibly difficult for anybody to give up smoking. We have Members who have succeeded, and who are perhaps still trying to give up. To give up smoking, a person needs to be in a place where they have the mental resilience and can put time and energy into quitting. If they are fighting all the other issues that come with the burdens of being poorer—if they are fighting for employment or trying to feed their children—it is so much harder.
My hon. Friend has proposed a road map to a smokefree country, and a report to this place every five years. I am not particularly wedded to that, but we should be laser-focused on reducing health inequalities across all populations. I therefore hope that our Government will consider having a reporting process similar to the one in new clause 13 among the changes to the national health service. In the Health and Social Care Committee this morning, we were talking about where the Office for Health Improvement and Disparities will go following the dissolution of NHS England. This is an ongoing conversation that we need to be mindful of.
We need to ensure that the ongoing importance of addressing health disparities is not lost, and I think that is front and centre of the Secretary of State’s agenda in the 10-year plan. On behalf of public health consultants and professionals, I commend the Bill to the House, and I am proud to be part of a Government and a Parliament that will bring this life-changing piece of legislation to the country.
I want to speak to amendment 4 and the subsequent amendments in my name, and to new clause 3. It is right that where a public health issue is identified, this body should look at whether anything can be done about it through law, fiscal policy, or the other levers available to us, but we should ask ourselves, when we introduce laws, what the consequences are. Are there any unintended consequences, and how practical and enforceable are the measures? If they are unenforceable, all we do is bring the law and this place into disrepute. While some have described this Bill as well-meaning, essential, a flagship Bill, and a show of leadership, I am concerned that we have given little thought to, and had little debate about, the consequences, which are hitting us in the face. Let us be honest with ourselves: it would be good to walk away at the end of today’s sitting and say, “We have done a wonderful thing for future generations; we have introduced laws that will do away with smoking and will improve the health of the nation,” but we are ignoring the fact that we have introduced legislation that is unworkable, and to which I believe, through my amendments, there is an alternative.
Does the right hon. Gentleman recall that many warned before the 2007 smoking ban that it would be unenforceable, and that there would be barely any compliance with it? However, from day one, there was 97% compliance. That law has helped to drive a reduction in cancers due to secondary smoking, and a massive number of people gave up as a result of no longer being able to smoke in the pub.
The hon. Member will have the answer to that if he reflects on what we are debating today. We introduced that legislation, yet here we are, revisiting the issue, because people are still smoking and health outcomes are still bad—and we have additional problems, which I will come to in a moment, namely the illegal purchase and supply of tobacco. We have tried this in the past—we have tried bans and all kinds of other measures—yet we still have the problem with us.
Let us consider the consequences. First, we are being asked to introduce legislation, the burden of which will fall on retailers, because it is at the point of purchase that the scrutiny required by the Bill, and its implementation, will have to take place. There is a question that we have not debated yet: what happens when a retailer is faced in a few years’ time with two people, one aged 29 and the other 28, both demanding tobacco? One says “I’m 29” and the other says “I’m 29 as well.” The retailer is meant to distinguish which of them he can sell tobacco to legally. That is a real, practical problem, and it places a burden on the retailer, because if he does not make the right decision, he faces a fine and the removal of his license, and that source of income for his business will be affected.
I agree about the practicalities of needing to pick between two adults of similar age in a shop. Does the right hon. Gentleman agree that the person selling the cigarettes will probably be a shop lad aged 18 or 19? He will have to draw a distinction between adults much older than him. We should consider the position that puts that young gentleman in.
That was the next point I was going to come to; the hon. Gentleman anticipated what I was going to say. We will place a burden not just on the retailer, but on those who work in the retailer’s store. We are concerned about assaults on retail staff; we have taken legislation on the subject through the House. The evidence from the British Retail Consortium is that many of those assaults take place when goods are denied to individuals because they cannot offer identification and show their age, so we are placing retailers and those who work in shops in great danger. There may be a safeguard against that in some of the bigger stores that have security guards, but many of the shops that sell tobacco are small corner retailers that do not have security guards, or even anyone in the shop other than the shopkeeper or the person behind the counter. Yet we are demanding that they implement the legislation, regardless of how practical or impractical it is for individuals to make a distinction between somebody who is 37 and somebody who is 36, or whatever.
Order. Interventions should be short and the term “you” refers to me in the Chair.
It is easier to distinguish between a 16-year-old and a 24-year-old. Usually, the younger the age, the easier it is to make that determination, but it is much more difficult when people are older, yet that distinction will have to be made.
The idea may be that the cost of the licence will be so expensive that many small retailers will be squeezed out of the market, and the only outlets will be bigger stores where there are security guards. However, the sale of tobacco provides an important part of the income of many small retailers. Whether we like it or not, we are putting a burden on people who will find that they are exposed to dangers and difficulties, and will be subject to the law if they make the wrong decision.
The second issue, which has been touched on today, is what happens when people cannot get the tobacco that they want. Where do they go? They go to people who are prepared to sell it to them illegally. We cannot run away from the fact that the sale of illegal tobacco is already lucrative, especially because of the tax increases that we have introduced. It is lucrative for criminal gangs and it funds many of their activities. We have heard statistics that 7% of cigarettes and 33% of rolling tobacco are already sold by criminal gangs. In Northern Ireland, it is probably far higher because paramilitaries were involved in the trade and used it to fund their activities for so long. If anybody thinks, “Oh well, we’ll deal with that problem when it comes,” look at the history of Northern Ireland, where hundreds of millions of pounds found its way into the coffers of terror gangs and action was not taken, because it was sometimes too hard or too difficult to trace the things. Yes, action has now been taken, but do not think that we are going to have an all-out assault on the booming industry that this legislation will produce.
My last point about the Bill being impractical is that it cannot apply in Northern Ireland because, as part of the EU single market, we are under the tobacco products directive. The Irish Republic tried to introduce similar legislation and found that it could not because of that directive. That is why we have tabled new clause 3, challenging the Government to amend the Windsor framework so that the legislation will apply across the United Kingdom. This is not a counsel of despair because I believe that there is an alternative, as set out in the amendment. Indeed, the Government’s own modelling suggests that a much more practical way is to set the age limit at 21.
If the figures and the modelling are correct—although there are questions about the tobacco modelling on doing away with smoking in a generation—and if we impose the age limit of 21, which avoids some of the problems we have talked about with the sale of tobacco, we reach zero consumption by 2050, just as we do with the generational model. That avoids many of the problems and difficulties I have outlined and the consequences for retailers, rather than rushing into this. It is a headline-grabbing measure, but it has not worked elsewhere. Why did New Zealand drop it? Because of the booming market in illegal tobacco. I believe that in a number of years, we will find that we made the same mistake.
For me, the Tobacco and Vapes Bill is a landmark opportunity to improve health outcomes for people in my constituency of Kilmarnock and Loudoun, as well as people across the whole United Kingdom. Almost 80,000 people die each year from smoking-related illness, and many of my constituents have told me they wish that they had never started smoking in the first place. With this Bill, we draw a line under the public health tragedy that tobacco has caused over too many decades. On top of the tragedy of 80,000 deaths, every year smoking costs the NHS more than £3 billion and sees our economy lose more than £18 billion in productivity. This Bill is the bold action that our country needs and that my constituents in Kilmarnock and Loudoun will benefit from.
I am proud that this Labour Government are standing up to the tobacco lobby with the banning of tobacco products for anyone born in or after 2009. That radical change will save lives. In my constituency, I have seen people as young as 12 puffing on vapes on their way to school and when returning home. That is a huge concern for the health and wellbeing of those young people, and the ease of access that they have to vapes is simply unacceptable.